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Experience with Operating a Trauma Team at a Local Private University Hospital  

Kim, Yong Hwan (Department of Emergency Medicine, Eulji University)
Yang, Young Mo (Department of Emergency Medicine, Eulji University)
Lee, Jang Young (Department of Emergency Medicine, Eulji University)
Lee, Won Suk (Department of Emergency Medicine, Eulji University)
Sung, Won Young (Department of Emergency Medicine, Eulji University)
Bark, Koung Nam (Department of Emergency Medicine, Eulji University)
Publication Information
Journal of Trauma and Injury / v.26, no.3, 2013 , pp. 99-103 More about this Journal
Abstract
Purpose: This hospital has operated a trauma system of the inclusive trauma system under the sponsorship of this hospital and with financial support from the government from 2011, and it has been designated as a specialized trauma center (candidate) since November 2008. Therefore, this emergency medical center evaluated the influence of the inclusive trauma system on the course of healing and on the results for trauma patients within the region. Methods: The medical records of all patients who were registered as trauma patients from among those who visited the emergency medical center of this hospital from April 2009 to May 2012 were retrospectively reviewed. The monthly and the annual averages of important indices, such as the time in the emergency room and preventable mortalities, were calculated, and patterns of change were sought. The preventable mortality rate was calculated by using the Trauma Injury Severity Score (TRISS) for each patient. Results: The total number of patients registered from April 2009 to May 2012 was 601, and male patients accounted for a larger proportion(432 males(71.88%) vs. 169 females(28.12%)). Their average age was 46.2 years, the average Revised Trauma Score (RTS) was 5.74 points, and the average Injury Severity Score (ISS) was 26.99 points. The preventable mortality rate during the entire period, which was calculated using the TRISS, appeared lower than the preventable mortality rates reported in past studies in the Republic of Korea. Conclusion: These results for the operation of a new trauma system are limited in that they are only for a local private university hospital. However, results show greater changes and developments in and out of the hospital due to multilateral endeavors by the trauma team and the hospital. These endeavors include increased communications among the departments and development of a complementary patient registration system.
Keywords
ISS; RTS; Trauma;
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